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Management of symptomatic urolithiasis during pregnancy
Yung-Shun Juan1, Wen-Jeng Wu, Shu-Mien Chuang
1Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|May 26, 2007
Summary
Managing urinary calculi in pregnant women is challenging. This study found conservative treatment effective for many, with procedures like ureteroscopy used when needed for symptomatic urolithiasis during pregnancy.
Area of Science:
- Urology
- Obstetrics & Gynecology
Background:
- Urinary calculi (urolithiasis) during pregnancy pose diagnostic and management difficulties.
- Symptomatic urolithiasis in pregnant patients requires careful consideration due to potential risks.
Purpose of the Study:
- To describe the experience with diagnosis and management of symptomatic urolithiasis in pregnant women.
- To evaluate the outcomes of various treatment modalities for kidney stones in pregnancy.
Main Methods:
- Retrospective study of 18 pregnant women treated for urolithiasis between 1999 and 2004.
- Review of clinical presentations, diagnostic procedures, and management strategies including conservative care, double-J stent insertion, ureteroscopic lithotripsy, and percutaneous nephrostomy.
Main Results:
- The incidence of symptomatic urolithiasis during pregnancy was 0.35%.
- Flank pain was the most common symptom (94.4%), with most cases occurring in the third trimester.
- Conservative management was successful in 10 patients; interventions included double-J stent placement (4 patients), ureteroscopic lithotripsy (3 patients), and percutaneous nephrostomy (1 patient).
Conclusions:
- Ultrasonography is a reasonable diagnostic tool for suspected renal colic in pregnant women.
- Ureteroscopy is an effective option for managing urolithiasis when conservative treatment fails.
- A multidisciplinary approach is crucial for optimal outcomes in pregnant patients with urinary calculi.
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